Provider Demographics
NPI:1730138140
Name:LARSON, DEBORAH COMPEL (RN,MN,CPNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:COMPEL
Last Name:LARSON
Suffix:
Gender:F
Credentials:RN,MN,CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6551 W 85TH PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-2819
Mailing Address - Country:US
Mailing Address - Phone:310-649-4204
Mailing Address - Fax:
Practice Address - Street 1:HUNTINGTON MEMORIAL HOSPITAL
Practice Address - Street 2:100 W CALIFORNIA BLVD
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91109-7013
Practice Address - Country:US
Practice Address - Phone:626-397-8771
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA355797163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics